"Dr. Stiell thinks this decision tool is ready to be used right now. This is THE Dr. Stiell. You know: Ottawa ankle rule, Canadian CT head rule… a list that doesn’t end. One of the biggest minds in emergency medicine. That guy. So although my take is a little different, you might want to consider the source of your information when deciding for yourself.

This study is a multi-centre prospective observational cohort to validate this previously derived decision tool. They looked at adult patients with acute heart failure in the emergency department. The scale is used to predict serious adverse events. Here is the scale: